HomeMy WebLinkAbout12-13273 CITY OF ZEPHYRHILLS �
5335-8TH SIREET
(si3)�so-oozo 13273
BUILDING PERMIT
Permit Number: 13273 Address: 7844 KAY MARIE AVE LOT 313
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 3425-21-0010-01300-3130
Improv. Cost: 3,469.00
Date Issued: 7/30/2012 Name: MOLNAR, RONALD & PATTIE
Total Fees: 82.50 Address: 37633 COREY LEWIS AVE
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33541
Date Paid: 7/30/2012 Phone: (813)788-0659
Work Desc: 10.6 X 13 SCRN RM
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will aomply with Florida Statute 553.80(2)(c)when extra inspectlon
Mps are necessary due to any one of'the following reasons: a)wrong address b)condemned work resulting
from faulty oonstruction c) repairs or come�,tions not made when inspections called d)work not ready for
inspection when called e) permit not posbed on job site� plans not at job site g)work not aaoessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to recoM a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before reoordin your notice of commencement."
Complete Plans,Specificatlons Must Acoompany Application.All work shall be pertormed in acoordance with
Ci Codes and Ordinanoes. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,�'OT10E UF C��IMENCEMENT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
2012127125
PemviNo Rcpt:1450934 Rec: 10.00
Tax Fol�o No 3y-��-p1 --- D5: 0.00 IT: 0.00
�� ���� 07/30/12 C. Miner, Dpty Cle�k
U l$O '
THE UNDERS]GNED hereby grves notic.e that improvements wi)1 be made to cenam real properry,and m accordance with Section
713 13 of ihe Florida Statutes, the followmg mfonnation �s prov�ded in this NOTICE nF C0119MENCEMENT
la�ard �o�n�oh=�k�s�- Fowr�t gl�� t�o�3 F.o�'3�3 0� �n
1 Descnption of property(fega!desrription): $�(o�'"P� b �,•57-� o��
a)Street(job)Address: �l A '1 -- -- --- �m D
�"-G--��1� r .1� �
2 General description of improvementsSC �e�ta(� - _ �N o
�_�Qr��� e ��n�� ' Z
3 Owner infonnation --�- ----- ���
a)Name and address�e�,cl.� hle�r,e,r 3?�q3 Ca�� �
b)Name and address of fee simpJe��tleholder(�rothtr thar�o��)_� �-� �� 3354/ _ wm o
N3 n
c)lnterest in pro erty N
4 Con�actor Information�}r1[j.p�-u,(+, � ,� �� � 1�� �F,o
� a)Na�ne and address: 0 1n � i � �
b)Telephone No.. �'Ol3 -'�$a-�b(�1 l 335�3 0 �
S.Surety lnformation
Fax o (Opt ) r�1►�-?IS-[nS�S ~+�
���
a)Name and address: �
b)Amount of Bond: N �
c)Telephone No.: Fax No. � �
6.Lender ��pt•) °
a)Name and address: T
7 ldenti of Phone No.
ty person within the State of Fiorida desig�ated by owner upon whom notices or other documents may be se�yed:
a)Name and address:
b)TeJephone No.; Fax No. (Opt.)
8.in addition to hunsclf,owner designates the following peiaon to receive a copy of thc Lienor's Noticc as provided in Section
713 13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
9•Expiration date of Notice of Commencement(the e:piration date is ooe year trom the date ot recording ualess a diRerent date
is specified);
�Y'ARr1ING TO OWNER: ANY ppyMENTS MADE BY THE OWNER AFTEg THE EXPIRATION OF THE NOTICE OF
COMMEIVCEMENT qRE CONSIDERED IMPROPER PAYMEN7'S UNDER CIiAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,A1VD CAN RESULT iN YOUR PAy�VG 7'W��pOR I1ISPROVEMEN'TS TO YOUR PROPERTY,
A NO'I7CE OF COMMENCEMENT MUST BE RECORDED AND ppSTED ON THE JOB SITE BEFORE THE FIRST
�Sp�Ti�T1• IF YOU IIVTEND TO OBTAIN FIIVANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO�NCEMENT,
STATE OF A
rnurnv o��D �/ �
,�
, of Owner o�pwnu's AulLoriud Otficer/DirctlorlPulner/Muuger
Rint Name
The forego�ng instrumcnt was aclrnow)edged betbre me this �� day ot�1,�.�`I ,2pL�b �.
�lol�ac- y
� (type of authority,e.g.oflicer,trustee,
attorney in fact)for (name of par o alf of w6om instrumenl was eYecuted).
Personally ECnown OR Produced ldentification� Notary Signatur �
Type of Ident�fication Produced �'• ►� • �� `� �
Name,(print)`�JV \"��C� N��',V� c.� "y'�
.3µ � . '
Verification pursuane to Section 92.525,FJorida Statutes.Under penaities of perjury,]declare that]have read the fortigieing and that
the facts stated in it are trve to the best of my knowledge and belief.
FOAMSRdOC.n•sd2007 +` � + � � � �
l. �vW�.�
`'2���� SHARRON JOHNSON Signahvc of Namnl Per�on Siguin6lin line M l OJ Above
=�' Carturwssion#EE 105642
�. Expires June 23,2415
�%�'„��� BondedTwTroyFa'aipauanceB0a385-7019
,1\�;`;��:1�'I w; ::
bl"�7E OF FLORI�A, COUNTY QF P� ,,�,
THIS IS TO GERTIFY THAT THE FOREG G iS A ` ��,.
T�UE�±NG CORRECT COPY OF TH�a CU '��,y �y� ,±;ti� '
ON FI�E OR OF PUBLIC RECORq lt� H . CE�r. ,�:�
�TNESS MY HAND AND OFFIC�AI�• - � �'�
� 3SP�
��� DAYOF�VL : � . n� ' �f.�
PAl1LA S O'NEIL, CLERK 8�C'IVI. L FZ , ; .�,'•W'
BY � � 1 �� ��%�'� � RK, ` ,�`�.
.�' r�f
, ,� *� ,, `
s�saao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
DateReceived _(3-t v PhoneContactforPertnittin �✓ ^7��� _��C�
Owner's Name � �{. �� (1�� Owner Phone Number � ���
Owners Address ��(0, � `1 � ) � '� Ownar Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �J�`7 (1/� �l C(f'J L`�i ��.'i LOT# ��
SUBDIVISION fln 1 �I�� ' ' PARCEL IDA� _3�'c�`>����Q l� Q��(� Q�'�'1�3L/
(OBTAINED FROM PROPERTY TAl(NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q
DESCRIPTION OF WORK � � 1 ` "\ ��� �
BUILDING SIZE I D���� I�� SQ FOOTAGE 1 .� HEIGHT �
BUILDING $� / �(] VALUATION OF TOTAL CONSTRUCTION
(O
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ �
� . �2.�
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
� / � 1
BUILDER ��/\ �Q��iK.� �..f� COMPANY `�'� /1��"Y'L(.
SIGNATURE J REGISTERED Y N FEE CURRE� Y/N
Address T T•y7 ��� IS ` i�� License# S��f��
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y(N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License# �-
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N
�d�sg License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stortnwater P�ans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""`PROPERTY SURVEY required far all NEW construction.
Dvections:•
Fill out application completely
Owner 8 Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is requlred. (AIC upgrades over E7500)
"" Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-NOt over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more resVictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conUactor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contrador may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Sedion at 727-847-
8009 Furihermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project dces not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthertnore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be perfortned to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certiTy that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies inGude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fiil material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage pian is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correcdon of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in wridng,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT " CONTRACTOR�iC)L"i �
Subsc'bed and s �m to(o rtned)qefore me this Subscribed and swor td•(a�affic�ied)be ore me t�
7�//'�� by � � U ' �`��-/� by�rCS�b�'
Who is/are personally kn� n to me or has/have produced Who is/are personally knowd to me or as/have produced
as identfication. � as identfication.
� Nota Public :/�ro
�' \\;`��'�" — Notary Public
Commission No. Commission No.
���Fr c N�\� sot� � t`oN �hl�s�
Name of Nota typed,printed or stamped Name of Notary
���.., "'�""`° � ' RON JOHNSON
���r�a
,�,i�� , SHARRON JOHNSON '���' �prpmissipn#EE 105G42
'*• � Commission#EE 105642 �,� � Expires June 23,2015
:?�� Expir'es JunF3 23,2p15 '%�,� m�man.�r�oyr,�w��eoo�sa��o�a
"'�.�,P;,";c, sa,aaa rn�,r Fa�n •n��,•
^�Y hs�anca8W385.7078
� 4025 Morris Bridge Road
� � ` Zephyrhills, FL 33543
, CONSTRUCTION $13-782-1064 Phone
Of E,'P,12tr81 Flp1"1�l'8.Itt� 813-715-6585 Fau
800-224-1206 Toll Free
www.bhconstructioninc.com Web Site
PROPOSAL SUBMITTED TO SALESMAN DATE
Ron Molnar Gr Beebe 7/11l12
STREET CELLPHONE
7844 Neukom 813-714-2091
CITY,STATE,and ZIP CODE JOB LOCATIONIDIRECTIONS
Ze h hills, FL Grand Horizons
813-788-0659 239-450-323 RP TAG#
We hereby submit s ifications and esfimates for
RE: Screen Room
O tion I: Add 33'6"of aluminum screen walls with 18"vin sidin kick late on
the inside of the screen room, the vin sidin on the outside will extends lower
to the outer rim 'oist. $2,672.00
O tion II: Add maxie rail to the o en ortion of the existin deck. $432.00
O tion III: If the buildin re uires handrail on the outer two walls of screen roorr
because of the hei ht-$575.00-this is not included.
O tion IV: Install an ei ht tread wood ste with two maxie ste rails. $365.00
Total for O tion I,O tion II and O tion IV is: $3,469.00
We PI'OpOSe hereby to fumish materials and labor-complete in acxordance with above specifications,for the sum of:
Thirty-four hundred sixty-nine and 00/100 dollars. $ 3,469.00
Payment to be made as 4olbws:
PAYMENT UPON FINAL INSPECTION
All material is guaranteed to be as specified. All woAc to be crompleted in a
workmanlike manner according to standard practices.
Any alteration or deviaGon from above specifications involving cast will be executed AUthOfiZ@d
upon written orders,and will become an extra charge over and above the estimate. S19f18tUrE:
All agreements contingent upon strikes, accidents, or delays beyond our control.
Owner to carry fire,tomado,and other necessary insurance.Our workers are fully Note:This proposal may be
covered by Workman's Compensation Insurance. Withd�2wn by us if r10t 8GC2pt2d Wlthlfl days.
Acceptance of Proposal- The above prices, specificatans and
conditions are satisfactory are herby accepted.You are authorized to do the work as Signature:
specifies.Payment will be made as outlined above.
Date of Acceptance: Signature:
"Custom Home Additions At It's Besf!"
LEONARD G. "GEOFF" WOOD, P.E.
4034 THE FENWAY
MULBERRY, FL 33860
(863�646-551?
Date: 07/10/12
B 8v H Construction
Zephyrhills, FL
Re: RONALD MOLNAR Mod. #:
Address: 7844 KAY MARIE AVE Lot #: 313
ZEPHYRHILLS, FL
Dear Sirs,
This letter is to certify that I have reviewed the above referenced
structure to determine the structural adequacy of the existing structure
to receive the attached structure. The proposed structure is roughly a
10' 6" X 13' Screen Room on an existing permitted wooden deck
The existing mobile home, has been considered and is adequate
as a host structure, with the blocking and anchoring at 5'4". Based upon
review and acceptance of other structure to home per manufacturers
requirements.
As always, should you have any questions, please feel free to call
me at any time.
Sinc ely,
� SHEET!OF °
FOR:
Leonard G. Wood Be�x c�n��;�orc����
4034 The Fenway These shaduds and plaas meot the 2010
Mulberry, FL 33860 �°='a°B"'»s c°d`Bm'd'°�,s�°°n'6°9
MAX WIIdD 14(Z MPH
Loonscd G.GeoffWood
LEONARD(3."C�EOFF"WOOD
ENaII1EER
Laonard G.Wood,PE #47377
4034 The Fmsvay
Mulbary.Floride,33860
Te1 hone/Fu B63 430-2717
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CITY C)F Z�PHY HILLS
PLANS F_XAMINER�__„
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Leonard G.Wood,PE#47377
4034 The Feaway
Mnlbecry,Florida,33860
Tel clFax 863 430-271�
• ' 'Florida Building Code Online Page 1 of 1
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Busines��,��
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Regulatic;r
��� Product Aoproval Menu>Product or Aoolication Search>Appliwtion List
��a� Search CNteria Refine Search
a Code Version 2010 FL# 1779
���^* r Application Type ALL Product Manufacturer ALL
;��.a ,Category ALL Subcategory ALL
Application Status ALL Compliance Method ALL ''
Quality Assurence Entity ALL Quality Assurance Entity Contract Expired ALL
,Product Model, Number or NameALl Product Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
Impact Resistant ALL Design Pressure ALL
Other ALL
Search Results-Applications
FL# Tyae Manufacturer Validated B Status
�FL1779-R3 Revision Metals USA Building Products Christian Langley, PE Approved
Historv Category: Roofing (954)333-8965
Subcate o : Metal Roofln
'Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary
Contact Us 1940 North Monroe Street Tallahass F� z»oo phone:850-487-1824
The State of Florida is an AA/EEO employer Coovnaht 2007-2010 5[a[ of Florida Prrvacv Statement Accessibilitv SLtement Refund SWtement
Under Florida law,e-mail addresses are public records.If you do not want your e-mail address released in response to a publ�c-records request,do not
send electronic mail to this entity Instead,contad the�ce by phone or by traditional mail.If you have any questions regarding OBPR's ADA web
accessibility,please contact our Web Master at wehmaster�dbor.ctaro.n��c,
Produc[Approval Acaepb:
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VN�S�pn
http://www.floridabuilding.org/pr/pr_app_lst.aspx 7/11/2012
Florida Building Code Online Page 1 of 2
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�c�ra�mr�r�
,��,,�j,�`,.,F���^�-.:�.�� BCIS Home Log In User Registrotion Ho[Topics Submit Surcharge Stats&Fac[s Publications FBC S[aff BCIS Site Map Links Search
Busines �L�
Professi�nal "{ UPSER�.dP`ubt�UApproval
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Product Approv_al Menu>Product or A�olication Search>Aoolication List>Application Detail
���� FL# FL1779-R3
�� Application Type Revision
Code Version 2010
��� Application Status Approved
Comments
Archived
Product Manufacturer Metals USA Building Produrts
Address/Phone/Email 7815 American Way
Groveland, FL 34736
(352)787-7766
bkaufmann@metalsusa.com
Authorized Signature Bill Kaufmann
bkaufmann@metalsusa.com
Technical Representative Bill Kaufmann
Address/Phone/Email 7815 american Way
Groveland, FL 34736
(800) 342-9077
bkaufmann@metalsusa.com
Quality Assurance Representative BILL KAUFMANN
Address/Phone/Email 7815 AMERICAN WAY
GROVELAND, FL 34736
(352)787-7766 Ext227
bkaufmann@metalsusa.com
Category Roofing
Subcategory Metal Roofing
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who Thomas C Williams
developed the Evaluation Report
Florida License PE-54877
Quality Assurance Entity Underwriters Laboratories Inc.
Quality Assurance Contrect Expiration Date 02/25/2013
Validated By Christian Langley, PE
Validation Checklist- Hardcopy Received
Certificate of Independence FL1779 R3 COI COI.odf
Referenced Standard and Year(of Standard)
Equivalence of Product Standards
Certified By
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqs%2bbt23mL8... 7/11/2012
' Florida Building Code Online Page 2 of 2
Sections from the Code
1714
Product Approval Method Method 2 Option B
Date Submitted 02/24/2012
Date Validated 02/24/2012
Date Pending FBC Approval 03/OS/2012
Date Approved 04/03/2012
'Summary of Products
FL# Model,Number or Name Description
1779 1 3"X 12"ALUMINUM RISER PAN aluminum roof panels used in residential or commercial
! X.024"AND .030",7WIN-VEE applications of engineered mobile home roofover
� "W" PAN X.028"&.034" s stems car orts screen rooms
i y , p , ,patio covers,awnings,
cano ies,walkway covers,and sheds.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL1779 R3 II Drawinq.pdf
Approved for use outside HVHZ:Yes Verified By:Thomas C Williams P.E. 54877
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: refer to engineering&installation sheets for FL1779 R3 AE Eval.odf
spans&design pressures Created by Independent Third Party. Yes
Back Next
Contact Us 1940 North Monroe Street Tallaha s F i �Qq phone:850-487-1824
The State of Florida is an AA/EEO employer Coovriaht 2007-2010 State of Florida Privacv Sta[ement Accessibilitv St�tement Refund Statement
Under Florida law,e-mail addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not
send electronic mail to this entity [nstead,contact the�ce by phone or by traditlonal mail.If you have any questions regarding DBPR's ADA web
accessibility,please contact our Web Master at webmaster�dbor cr�te fl.us.
Product Approval Aeaepts:
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�� xtivrit�.ii i i<���
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http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqs%2bbt23mL8... 7/11/2012
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WI�LIaMS ENG�fJEEPING ALUMIN�M ROOF PANELS
" PRODUCT APPROVAL #1779 �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� � ��5���� !�l
Date Received: �� � `� �� Z
Site: ���� l`a- ��c�� ,�
/ -�e,��S d�d��
Permit Type: l v" � x �3 C�� �n'1 �'l�L��
Approved w/no comments: �' Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co ent sheet shall be kept with the permit and/or plans.
,
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Ka1 in Swit —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)